| NPI | 1649437013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9265) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MN 9265) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: IA 09309) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: OH 012636) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2021-06-23 |